Translating Research Into Practice for Postpartum Depression (TRIPPD)

Olmsted Medical Center

Status: Unknown

Conditions: Postpartum Depression

Treatments: Behavioral: Screening and follow up; Behavioral: Usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT00548743

5R01HS014744-02

Details and patient eligibility

About

This is a study to assess the impact of introducing screening and planned follow up for postpartum depression. All women ages 18 to 45 who speak English or Spanish who come to the enrolled community family medicine offices will either be given usual care or screened using the Edinburgh Postnatal Depression Screening tool. If the EDPS score is high the women will be given the PHQ-9 to more clearly identify the specific likelihood of being depressed. Women who are determined to be depressed will be treated with medication or counseling based on the preference of the women and their physicians. Women will be followed through nurse initiated phone calls and visits to the physicians office.

Outcomes include the level of depression symptoms, measure of comfort with parenting, and satisfaction with partner relationships comparing baseline levels with those at 6 and 12 months from the usual care and intervention sites. These data will be collected by questionnaire. In addition, with the women's permission, medical records will be reviewed.

Full description

A randomized controlled trial of screening and management of postpartum depression that includes a second phase assessing the maintenance of the intervention in the original intervention sites and a switch from usual care to intervention in the control sites.

Planned enrollment includes 29 family medicine practices and 3000 women over a period of four years. All follow up and management is initiated within the family medicine practices to improve generalizability and likelihood for dissemination.

In addition to the patient centered outcomes, exploratory analyses will look at the uptake and degree of implementation and maintenance of the intervention based on characteristics of the practice including size, location, affiliation with larger group, type of practice and whether or not the practice is a community health center or residency practice.

Enrollment: 3,000 estimated patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 5 to 12 weeks postpartum

• Able to speak and read English or Spanish

  • 18 to 45 years of age

Exclusion criteria

• Significant cognitive impairment and unable to answer screening questions

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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3,000 participants in 2 patient groups, including a placebo group

1

Experimental group

Description:

Intervention arm

Treatment:

Behavioral: Screening and follow up

2

Placebo Comparator group

Description:

Usual care

Treatment:

Behavioral: Usual care